Breanna Blue

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

90 Kron St
Rochester, NY 14619-2036

Phone

(585) 397-2675

NPI assigned

Sep 1, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Breanna Mathis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Simple Care in Your Home

  • In Home Supportive Care Agency
  • Rochester, NY
  • NPI 1366804841
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1144776782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 KRON ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146192036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 KRON ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146192036",
            "telephone_number": "585-397-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUE",
        "first_name": "BREANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREANNA",
            "last_name": "MATHIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Linda Blossom, P.T.
• Yveline Blot, MD
• Brittany Rose Blount, PA
• John L Blount, PTA
• Andrenna Blue
• Connie Blue, LPN
• Dartaina Blue Sr.
• Scott Blue
• Tashara D Blue, LPN
• Fred G. Blum, DMD

• In Home Supportive Care Agency in Rochester, NY
• Providers in Rochester, NY by specialty
• In Home Supportive Care Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.